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Dr. Lorenzo Thomas Hughes, MD

Accepting New Patients

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Specializes in: Interventional Pain Medicine and Anesthesiology

Indiana University School of Medicine (2005)

Professional interests include: sympathetic nerve block, chronic pain, spinal cord stimulation (SCS), and more.

1241 East Hillsdale Boulevard Suite 200
Foster City, CA 94404

(650) 667-2322

Dr. Lorenzo Thomas Hughes, MD is an interventional pain specialist in Foster City, CA specializing in interventional pain medicine and anesthesiology. He graduated from Indiana University School of Medicine in 2005 and has 20 years of experience. Dr. Lorenzo Thomas Hughes, MD is affiliated with Sutter Health, ALASKA NATIVE TRIBAL HEALTH CONSORTIUM and PREMIER ANESTHESIA OF CALIFORNIA PC.

Office Locations

Sutter Health

1241 East Hillsdale Boulevard Suite 200
Foster City, CA 94404

(650) 667-2322

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Some issues Dr. Lorenzo Thomas Hughes, MD can help you with:

Joint Injections

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

Spinal Cord Stimulation (SCS)

If conservative treatment options and other spine surgeries have failed to provide someone pain relief, they may be a candidate for spinal cord stimulation. Spinal cord stimulation is a treatment for chronic back or leg pain. A spinal cord stimulator, which is surgically implanted underneath the skin (subcutaneously), can deliver electrical pulses to the area of pain. These pulses will reach the brain before the pain signals can, so instead of pain, patients will experience a tingling sensation.

To determine if spinal cord stimulation may benefit someone, they will first undergo a trial period. During this period, a temporary electrode lead is placed subcutaneously above the spinal cord, and it is connected to an external stimulator that they will carry with them. The procedure is typically completed within an hour, and patients may return home the same day. After a few days or weeks, the trial stimulator will be assessed for effectiveness. If the trial is unsuccessful, patients may undergo a second trial period, or the leads will be removed, and other treatment options will be considered. If, instead, a patient's pain is relieved during the trial, they will undergo surgery for implantation of a permanent stimulator and leads.

The components of a spinal cord stimulation system include the stimulator, the leads, and the wire that connects the two. Implantation of permanent leads may be percutaneous (through the skin) or involve a surgical incision. The spinal cord stimulator is implanted subcutaneously in the abdomen or buttock. The stimulator is battery-powered and may be rechargeable. If the battery is not rechargeable, it will last around 2-5 years, and a patient will need surgery to replace it.Their doctor will program the neurostimulator following the procedure.

After spinal cord stimulator surgery, patients may be released from the hospital the same day or the next one. In the weeks following the operation, patients will need to work with their doctors to find the optimal settings for their neurostimulator. Activities such as driving, twisting, bending, raising one's arms, sleeping on one's stomach, or lifting heavy objects should be limited.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA during 2013 were nerve block and injections.

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

injections	17
nerve block	17

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	60
Female	106

**Ethnicity**
Non-Hispanic White	134
Black	0
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	69
85 and over	21
Less than 65	29

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2013

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2013 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	58
Depression	29
Chronic Kidney Disease	22
Asthma	13
Osteoperosis	19
Atrial Fibrilation	17
Heart Failure	33
Chronic Obstructive Pulmonary Disease	28
Diabetes	48
Dementia	19
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA during 2014 were nerve block, injections, pain management and spinal procedures.

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

injections	41
nerve block	41
pain management	16
spinal procedures	16

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	51
Female	108

**Ethnicity**
Non-Hispanic White	125
Black	0
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	50
85 and over	27
Less than 65	27

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2014

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2014 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	55
Depression	35
Chronic Kidney Disease	25
Asthma	14
Osteoperosis	20
Atrial Fibrilation	14
Heart Failure	40
Chronic Obstructive Pulmonary Disease	24
Diabetes	57
Dementia	17
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA during 2015 were nerve block, injections, pain management and spinal procedures.

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

injections	26
nerve block	26
pain management	14
spinal procedures	14

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	74
Female	166

**Ethnicity**
Non-Hispanic White	180
Black	0
Hispanic	30
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	102
From 75 to 84	68
85 and over	38
Less than 65	32

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2015

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2015 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	54
Depression	31
Chronic Kidney Disease	26
Asthma	23
Osteoperosis	18
Atrial Fibrilation	18
Heart Failure	34
Chronic Obstructive Pulmonary Disease	30
Diabetes	56
Dementia	13
Cancer	16

Medicare Procedure and Patient Information

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	111
Female	155

**Ethnicity**
Non-Hispanic White	219
Black	22
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	116
From 75 to 84	70
85 and over	24
Less than 65	56

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2016

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2016 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	71
Stroke	8
Ischemic Heart Disease	48
Depression	27
Chronic Kidney Disease	39
Asthma	30
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	26
Chronic Obstructive Pulmonary Disease	25
Diabetes	44
Dementia	12
Cancer	18

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA during 2017 were hospital care, inpatient care, nerve block and injections.

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

doctor visit	28
hospital care	90
injections	13
inpatient care	90
nerve block	24

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	135
Female	145

**Ethnicity**
Non-Hispanic White	251
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	120
From 75 to 84	0
85 and over	0
Less than 65	97

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2017

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2017 were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	75
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	43
Depression	44
Chronic Kidney Disease	45
Asthma	10
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	23
Chronic Obstructive Pulmonary Disease	22
Diabetes	27
Dementia	11
Cancer	18

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA during 2018 were hospital care, inpatient care, nerve block and injections.

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

doctor visit	170
hospital care	111
injections	16
inpatient care	111
nerve block	27

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	147
Female	138

**Ethnicity**
Non-Hispanic White	238
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	110
From 75 to 84	50
85 and over	11
Less than 65	0

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2018

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2018 were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension	75
High Cholesterol	55
Stroke	6
Ischemic Heart Disease	44
Depression	50
Chronic Kidney Disease	48
Asthma	14
Osteoperosis	11
Atrial Fibrilation	10
Heart Failure	27
Chronic Obstructive Pulmonary Disease	27
Diabetes	39
Dementia	17
Cancer	18

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA during 2019 were hospital care, inpatient care, injections and pain management.

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

doctor visit	222
hospital care	87
injections	39
inpatient care	87
nerve block	12
pain management	27

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	164
Female	141

**Ethnicity**
Non-Hispanic White	262
Black	30
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	121
From 75 to 84	62
85 and over	11
Less than 65	111

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2019

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2019 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	47
Depression	44
Chronic Kidney Disease	44
Asthma	11
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	27
Chronic Obstructive Pulmonary Disease	25
Diabetes	38
Dementia	15
Cancer	18

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

hospital care	18
inpatient care	18

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	159
Female	174

**Ethnicity**
Non-Hispanic White	288
Black	29
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	160
From 75 to 84	84
85 and over	20
Less than 65	69

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2020

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2020 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	43
Depression	35
Chronic Kidney Disease	50
Asthma	12
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	27
Chronic Obstructive Pulmonary Disease	21
Diabetes	37
Dementia	11
Cancer	15

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

doctor visit	190

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	45
Female	72

**Ethnicity**
Non-Hispanic White	82
Black	0
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	43
85 and over	16
Less than 65	15

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2021

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2021 were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	63
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	21
Depression	26
Chronic Kidney Disease	32
Asthma	11
Osteoperosis	0
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	0
Diabetes	29
Dementia	13
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

doctor visit	60

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	27
Female	50

**Ethnicity**
Non-Hispanic White	57
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	31
From 75 to 84	27
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2022

The most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated during 2022 were high cholesterol, hypertension, depression and diabetes.

Hypertension	74
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	25
Depression	42
Chronic Kidney Disease	22
Asthma	19
Osteoperosis	25
Atrial Fibrilation	17
Heart Failure	17
Chronic Obstructive Pulmonary Disease	22
Diabetes	26
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2022

Volume of procedures performed by Dr. Lorenzo Thomas Hughes, MD for Medicare patients.

The highest averages for the top procedures that Dr. Lorenzo Thomas Hughes, MD treated as an interventional pain specialist in Foster City, CA were hospital care, inpatient care, injections and nerve block.

doctor visit	134
hospital care	76
injections	25
inpatient care	76
nerve block	24
pain management	19
spinal procedures	15

Average Medicare Patient Data From 2013 - 2022

Information about Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD.

**Gender**
Male	97
Female	125

**Ethnicity**
Black / African American	9
Asian / Pacific Islander	0
Non-Hispanic White	183
Native American / Alaskan Native	0
Hispanic	7
Other	0

**Age**
75 to 84	52
85 and over	16
Less than 65	43
65 to 74	90

Average of Total of Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD From 2013 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Lorenzo Thomas Hughes, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	73
High Cholesterol	65
Stroke	3
Ischemic Heart Disease	43
Depression	36
Chronic Kidney Disease	35
Asthma	15
Osteoporosis	12
Heart Failure	26
Chronic Obstructive Pulmonary Disease	22
Diabetes	40
Atrial Fibrillation	14
Cancer	13
Dementia	12

Education & Training

Dr. Lorenzo Thomas Hughes, MD graduated from Indiana University School of Medicine in 2005. He completed residency at Virginia Mason Medical Center. He is certified by the Board Certification: Anesthesiology and has a state license in New York.

Medical School: Indiana University School of Medicine (2005)

Residency: Virginia Mason Medical Center

Board Certification: Board Certification: Anesthesiology

Licensed In: New York

Affiliations & Hospitals

Dr. Lorenzo Thomas Hughes, MD is associated with these hospitals and organizations:

Sutter Health

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

PREMIER ANESTHESIA OF CALIFORNIA PC

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Lorenzo Thomas Hughes, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Spinal Simplicity, LLC	$2,759 HA MINUTEMAN G3-R $2,759
AngioDynamics, Inc.	$1,792 Auryon Laser System 100-120 Vac $1,792
Abbott Laboratories	$874 Proclaim IPG $688	Proclaim DRG IPG $114	PROCLAIM $72
Nevro Corp.	$434 Omnia $309	Senza $125
Medtronic USA, Inc.	$326 Spinal Cord Neurostimulation - Neuro $283	KYPHON Balloon Kyphoplasty $43
Other	$775 SPRINT PNS System $262	PAIN MANAGEMENT $138	ENTRESTO $125	PAINTEQ $95	TRILURON $21	Other $134

**Types of Payments**
Food and Beverage	$2,792
Long term medical supply or device loan	$1,792
Education	$1,775
Travel and Lodging	$601

Biography

Dr. Lorenzo Hughes' areas of specialization are anesthesiology and interventional pain medicine. His areas of expertise include strains, trigger point injection, and facet injection. Before completing his residency at Virginia Mason Medical Center, Dr. Hughes attended medical school at Indiana University School of Medicine. He is professionally affiliated with Sutter Health. Sutter Health reports that he is accepting new patients at his office in Foster City, CA.

Select Year:

Dr. Lorenzo Thomas Hughes, MD

Office Locations

Some issues Dr. Lorenzo Thomas Hughes, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2022

Average Medicare Patient Data From 2013 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Lorenzo Thomas Hughes, MD From 2013 - 2022

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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